Notice 2022-59: Self-insured health insurance annual fee

Adjusted applicable dollar amount for determining the Patient-Centered Outcomes Research Trust Fund (PCORTF) fee

Adjusted applicable dollar amount for determining the PCORTF fee

The IRS today released an advance version of Notice 2022-59 announcing the adjusted applicable dollar amount for determining the Patient-Centered Outcomes Research Trust Fund (PCORTF) fee for policy years and plan years ending on or after October 1, 2022, and before October 1, 2023.

The amount of the PCORTF fee is $3.00.

Read Notice 2022-59 [PDF 111 KB]

Background

  • Section 4375 imposes a fee on the issuer of a specified health insurance policy for each policy year ending after September 30, 2012, and before October 1, 2029.
  • Section 4376 imposes a fee on the plan sponsor of an applicable self-insured health plan for each plan year ending after September 30, 2012, and before October 1, 2029.

The fee imposed by sections 4375 and 4376 is calculated using the average number of lives covered under the policy or plan and the applicable dollar amount for that policy year or plan year.

Notice 2022-4 (December 2021) provided that the adjusted applicable dollar amount for policy years and plan years that end on or after October 1, 2021, and before October 1, 2022, was $2.79.

 

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